Individual
JUDITH COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 WATERSTONE WAY, ROSWELL, GA 30076-4483
(770) 998-1536
Mailing address
200 WATERSTONE WAY, ROSWELL, GA 30076-4483
(770) 998-1536
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00020561
AL
2085R0202X
Diagnostic Radiology Physician
Primary
037178
GA
2085R0202X
Diagnostic Radiology Physician
171310
NY
2085R0202X
Diagnostic Radiology Physician
20211
SC
2085R0202X
Diagnostic Radiology Physician
G62803
CA
2085R0202X
Diagnostic Radiology Physician
MD23815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544156E
—
GA
Enumeration date
08/24/2006
Last updated
09/14/2017
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